What is 4-H Afterschool?
4-H is a program that creates
opportunities for youth to develop life
skills. 4-H Afterschool is one way to
provide those opportunities.
4-H EMPOWERS youth to develop
practical knowledge and individual
talents through hands-on experiences
4-H EMPOWERS youth to make
positive decisions
4-H EMPOWERS youth to build strong
leadership and communication skills
4-H EMPOWERS youth to develop
friendships and gain a sense of
community
4-H EMPOWERS youth to give back to
their communities and understand the
importance of that giving
4-H is a part of the
ISU Extension Youth
Development Program.
Extension and 4-H programs are available to all
without regard to race, color, national origin,
religion, sex, or disability.
Why Join a 4-H Club
After School?
Traditional Community 4-H Clubs meet
once a month, generally in the evening or
on weekends. This time frame may not
work for you. Joining a club after school
would allow you to meet at the school, and
experience many of the same benefits as a
traditional club member.
4-H
Afterschool
What do 4-H’ers do?
4-H clubs are just that; they are groups
of youth who get together to do things
they enjoy. The group, or club, decides
the types of activities and projects they
are interested in doing. The projects will
usually be completed at the meetings, but
members can do more projects at home.
4-H Club members will also
have opportunities to:
* Hold a leadership position in the club
* Learn how to lead and participate in a
business meeting
* Participate in hands-on activities
* Learn skills such as woodworking,
cooking, visual arts, and much more!
* Help others
* Have fun
* Meet new friends
* Participate in the Mills County Fair
ISU Extension
Mills County
103 E. 5th St., P.O. Box 430
Malvern, IA 51551
712-624-8616
Code of Conduct:
REGISTRATION FORM
When?
I understand that the following
individual behaviors make group
activities difficult and I will be asked
to pick up my child if there is a
problem such as:
Youth name ____________________
Meetings will be held on Mondays:
Jan. 31, Feb. 7, & 28, March 7 & 21,
April 11 & 25, and May 9, 2005
 physical harm (person, facility,
materials)
 leaving the group without permission
 illness
 inappropriate language
 refusal to follow the rules
 unsafe behavior
Parent/Guardian signature
____________________________
Date _________________
Sign up now!
For our records only.
Please circle all that apply:
American Native
Asian
Black
Hispanic
White
Hawaiian/Pacific
Islands
Farm
City between 10,000 &
50,000
City over 50,000
Town under 10,000
Suburb of City over 50,000
Address ______________________
City, Zip ______________________
Male _____ Female _____
School ________________________
Grade ____________
Allergies, medications, or other
information the leaders should know:
________________________________
________________________________
_____________________________
Parent(s)/Guardian(s)
_____________________________
_____________________________
Work /cell phone________________
Home phone ____________________
Photography Release Consent:
____ Yes, pictures of my child may be
used for publicity and news articles and on
the Mills County Extension web page(s)
(Names will not be printed.)
____ No, do not use pictures of my child
(Please return this portion of brochure)
Time: 3:15– 5:00 p.m.
Where?
West Elementary Lunchroom
Glenwood
Who?
4th – 6th graders
Fee?
$20 per person
(covers all 8 meetings, but some
project supplies may be needed)
Make checks payable to:
Mills County Extension
Registration deadline
______________________
Send registration & payment to:
Mills County Extension
P.O. Box 430
Malvern, IA 51551
(Keep this part of the brochure.)